Individual
DR. THOMAS A KELLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE 100, KALAMAZOO, MI 49007-5341
(269) 373-1222
(269) 373-6270
Mailing address
601 JOHN ST, SUITE 100, KALAMAZOO, MI 49007-5341
(269) 373-1222
(269) 373-6270
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301068076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1972523918
—
MI
Enumeration date
07/20/2006
Last updated
11/27/2023
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